| NPI | 1649483389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: HI 15) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC22146) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2010-01-12 |